Sandboxkarol: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
 
(6 intermediate revisions by the same user not shown)
Line 1: Line 1:
{{familytree/start}}
{{familytree/start}}
{{familytree | | | | | | | A01 | | | | | | | | A01= Suspected syncope: <br> <div style="float: left; text-align: left;">❑ Initial Assessment]</div> }}
{{familytree | | | | | | | A01 | | | | | | | | A01='''High risk criteria:''' <br><div style="float: left; text-align: left;"> Severe structural or [[CAD]]<br>❑ Clinical or [[ECG]] features suggesting arrhythmic syncope: <br> -syncope during exertion or supine <br> -palpitations at the time of syncope <br> -family history of[[SCD]] <br> -non- sustained [[VT]] <br> -conduction abnormalities with QRS >120 ms <br> -[[sinus bradycardia]] <br> -pre-exited QRS complex <br> -prolonged or short QR interval <br> -brugada pattern <br> -[[ARVC]] <br> ❑ Important comorbidities: <br> -Severe anemia <br> -Electrolyte intolerance </div> }}
{{familytree | | | | | | | |!| | | | | | | | | }}
{{familytree | | | | | | | B01 | | | | | | | | A01= <div style="float: left; text-align: left;">❑ Clinical history <br> ❑ Physical examination (including supine and standing BP measurement after 3 minutes if [[OH]] is suspected) <br> ❑ 12 Lead [[EKG]] </div> }}
{{familytree | | | | |,|-|-|^|-|-|.| | | | | | }}
{{familytree | | | | C01 | | | C02 | | | | | | C01= Syncope | C02= T-LOC non syncopal}}
{{familytree | | |,|-|^|-|.| | |!| | | | | }}
{{familytree | | D01 | | D02 | D03 | | | D01= '''Certain diagnosis of syncope:''' <br><div style="float: left; text-align: left;"> ❑ Go to Diagnostic Evaluation algorithm for management of specific type of syncope </div> | D02= Uncertain etiology | D03= Confirm with specific test OR specialist}}
{{familytree | | |,|-|-|-|^|-|-|-|.| | | | | | }}
{{familytree | | D01 | | D02 | | D03 | | |D01= '''High risk:''' <br><div style="float: left; text-align: left;"> ❑ Early Evaluation and treatment</div> |D02='''Low risk, recurrent syncopes:''' <br><div style="float: left; text-align: left;"> ❑ Cardiac or neurally mediated tests as appropriate '''OR''' <br> Delayed treatment guided by EKG documentation </div>|D03='''Low risk, single or rare syncope:''' <br> <div style="float: left; text-align: left;"> ❑ No further evaluation </div> }}  
{{familytree/end}}
{{familytree/end}}

Latest revision as of 21:25, 10 January 2014

 
 
 
 
 
 
High risk criteria:
❑ Severe structural or CAD
❑ Clinical or ECG features suggesting arrhythmic syncope:
-syncope during exertion or supine
-palpitations at the time of syncope
-family history ofSCD
-non- sustained VT
-conduction abnormalities with QRS >120 ms
-sinus bradycardia
-pre-exited QRS complex
-prolonged or short QR interval
-brugada pattern
-ARVC
❑ Important comorbidities:
-Severe anemia
-Electrolyte intolerance